Routine inspection·October 20, 2023

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual. LPA met with caregiver,Deidre King, who contacted Ana Maria Cai, Administrator, who arrived at approximately 1:45 pm. Elena Morariu, caregiver, arrived with Administrator. LPA observed (4) residents eating lunch in the common area and (2) residents in their rooms at the start of the inspection. The facility is licensed for (5) non-ambulatory residents, (1) bedridden and has a hospice waiver for (2). Currently, there are (0) residents on hospice. LPA and the Administrator toured the interior and exterior of the facility including the common areas, resident bedrooms (5), resident bathrooms (3), kitchen, staff room and laundry area. LPA observed the facility to be clean, in good repair and odor-free. LPA observed the bathrooms to have the necessary grab bars, non-skid flooring, paper towels and hand-washing posters. LPA observed sufficient 2+day perishable and 7+day non-perishable supply of food, and locked sharps and medications in the kitchen. LPA observed toxins to be secured in the laundry room nearby. Inside temperature read 77*F and the hot water temperature measured 120*F in a resident bathroom. Fire extinguisher last serviced 8/14/23 and smoke/monoxide alarms are in working order. Facility conducts quarterly fire drills. LPA reviewed the Infection Control Plan (LIC9282) and found it to be complete. LPA observed (1) unlocked gate from the inside back patio. There are no bodies of water/pool. LPA observed sufficient incontinent products/PPE and linens/towels/blankets. LPA reviewed (3) resident files and observed them to be complete, organized and contain current documentation. Medications were reviewed for (2) residents and no discrepancies were found. (3) staff training records were reviewed. All staff have current First Aid/CPR and have recently completed initial or ongoing training. Administrator has an active RCFE Certification #6041800740-(exp 9/5/24) and is waiting to receive an updated copy. An updated copy of LIC500, LIC308 to be provided to the Department by 10/27/23. There are no deficiencies issued during today's inspection. Exit interview with Administrator. Copy of report provided.